Theroux, Marc A
Theroux, Marc A is an individual health care provider with primary practice located at 534 Prospect St , Fall River MA 02720-5239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Theroux, Marc A can be contacted via phone (508) 973-7766.Contact Information
Primary practice address
534 Prospect St
Fall River MA 02720-5239
Phone: (508) 973-7766
Fax: (508) 973-7753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 72558 | Massachusetts |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD08048 | Rhode Island |
Profile Details
| NPI number | 1497742514 |
|---|---|
| LBN Legal business name | Theroux, Marc A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Apr 27th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497742514 | NPPES |
| Massachusetts | MEDICAID | 110048792A |
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